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The hcpcs level ii quarterly update for july 2024 is now available on the centers for medicare & medicaid services (cms) website. According to the centers for the hcpcs level ii code set will get a refresh in 2022 with several new, revised, and deleted codes. Hcpcs code for administration of influenza virus vaccine g0008 hcpcs code g0008 for administration of influenza virus vaccine as maintained by cms falls under vaccine administration.
How do you code the immunization administration for a medicare patient when they receive both a pneumonia (or flu) shot in addition to another vaccine such as a tetanus shot In first quarter 2022, the hcpcs level ii code set will get a refresh with several new, revised, and deleted codes We first tried billing g0009 and 90471 but got a denial
I then read to try g0009 and 90471 mod
Originally, medicare paid for the e/m, flu shot and admin (g0008), and denied the tetanus shot/admin (90471) We sent in an appeal for the tetanus, so medicare paid for the tetanus shot/admin but then took back the payment for g0008 only, saying the denial is due to incorrect/missing modifier. Hcpcs code for administration of pneumococcal vaccine g0009 hcpcs code g0009 for administration of pneumococcal vaccine as maintained by cms falls under vaccine administration. Make sure you’re using the latest code files for your medicare claims
A second quarter update to the hcpcs level ii code set used for reporting products, a second quarter update to the hcpcs level ii code set used for reporting products, supplies, and services adds 23 new codes.
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